Facilities Request Form Facilities Request Form Please fill out ALL FIELDS before submitting. For multiple different events please fill out one form for each event. If the event is the same but spans more than one day, please indicate in the "Other Dates" field. In the "Type of Event" field please list what kind of event you are putting together. It might be a dance, business meeting, conference, party, etc. After receiving the form it will be processed and you will be contacted by the Facilities department for confirmation and further specification of your needs. Thank You!Name First Last Department or Organization PhoneFax NumberEmail Date MM slash DD slash YYYY Event Start Time : Hours Minutes AM PM AM/PM Event End Time : Hours Minutes AM PM AM/PM Other Dates for EventsNumber Anticipated To Attend? Type of Event? Room Requested?CUB, Multi-purpose Room 110CUB, Alcove RoomCUB, Fireplace RoomPerforming Arts Center (PAC)OTC Seminar Room 124OtherLayout FormatU-ShapeClosed SquareClassroom (Student Desks)Chairs OnlyWill Audio Visual Equipment Be Needed? Yes No Will Food Service Be Required? Yes No CAPTCHA
